{"id":5255177,"date":"2022-11-26T07:00:56","date_gmt":"2022-11-26T06:00:56","guid":{"rendered":"https:\/\/kapitalis.com\/tunisie\/?p=5255177"},"modified":"2022-11-26T07:00:58","modified_gmt":"2022-11-26T06:00:58","slug":"les-potins-du-cardiologue-le-chef-dorchestre-fantome","status":"publish","type":"post","link":"https:\/\/kapitalis.com\/tunisie\/2022\/11\/26\/les-potins-du-cardiologue-le-chef-dorchestre-fantome\/","title":{"rendered":"Les potins du cardiologue: le chef d\u2019orchestre fant\u00f4me \u00a0"},"content":{"rendered":"\n

La culture m\u00e9dicale est essentielle pour tout citoyen, mais la vulgarisation est une science qui n\u2019est pas \u00e0 la port\u00e9e de tous. Aussi, quand ce sont des m\u00e9decins qui s\u2019y att\u00e8lent, elle est toujours utile et instructive. Cette t\u00e2che va \u00eatre assum\u00e9e dans notre journal par Dr Mounir Hanablia dans cette rubrique r\u00e9guli\u00e8re qu\u2019il lance aujourd\u2019hui et o\u00f9 il abordera des sujets complexes sans passer par les normes standardis\u00e9es des revues sp\u00e9cialis\u00e9es et des congr\u00e8s m\u00e9dicaux tamtam.<\/em><\/strong><\/p>\n\n\n\n

Par Dr Mounir Hanablia<\/strong><\/p>\n\n\n\n\n\n\n\n

Le c\u0153ur est un muscle qui se comporte comme une pompe. Il se remplit de sang puis l\u2019\u00e9jecte afin d\u2019irriguer tous les tissus de l\u2019organisme, dans une succession ininterrompue de cycles, jusqu\u2019\u00e0 la fin de la vie.<\/p>\n\n\n\n

La r\u00e9gulation de l\u2019activit\u00e9 de ce muscle vital est sous la d\u00e9pendance de nerfs, d\u2019hormones, et de capteurs chimiques qui assurent son adaptation \u00e0 la demande m\u00e9tabolique du corps humain.<\/p>\n\n\n\n

Mais la caract\u00e9ristique du muscle cardiaque, c\u2019est son automatisme. Chaque cellule musculaire cardiaque est dou\u00e9e de la capacit\u00e9 de se contracter seule en modifiant sa perm\u00e9abilit\u00e9 aux ions qu\u2019elle absorbe et \u00e9jecte, en particulier le calcium.<\/p>\n\n\n\n

Comme une pile \u00e9lectrique<\/h2>\n\n\n\n

La concentration \u00e9lev\u00e9e en ions sodium Na + \u00e0 l\u2019ext\u00e9rieur de la cellule, et en ions potassium K+ \u00e0 l\u2019int\u00e9rieur, que la cellule maintient gr\u00e2ce \u00e0 une d\u00e9pense d\u2019\u00e9nergie, lui conf\u00e8re les propri\u00e9t\u00e9s d\u2019une pile \u00e9lectrique.<\/p>\n\n\n\n

Lors d\u2019un cycle cardiaque, le courant se propage du \u00abchef d\u2019orchestre\u00bb<\/em>, qu\u2019on appelle n\u0153ud sinusal, qui est une zone r\u00e9duite du c\u0153ur situ\u00e9e dans l\u2019oreillette droite, vers les ventricules \u00e0 travers des voies de conduction. Et le muscle finit alors par se contracter.<\/p>\n\n\n\n

L\u2019apparition du courant dans le n\u0153ud sinusal est bien due \u00e0 une variation de la perm\u00e9abilit\u00e9 cellulaire aux ions et du potentiel \u00e9lectrique. <\/p>\n\n\n\n

Normalement, c\u2019est la modification de l\u2019orientation des prot\u00e9ines de la membrane cellulaire gr\u00e2ce \u00e0 une force \u00e9lectromotrice, donc un champ magn\u00e9tique, qui permet la circulation ionique de part et d\u2019autre de la membrane cellulaire dans des canaux et initie le courant \u00e9lectrique n\u00e9cessaire \u00e0 la contraction du c\u0153ur. Puis quand le champ magn\u00e9tique dispara\u00eet, les prot\u00e9ines retrouvent leur position de fermeture, les canaux se ferment et le mouvement ionique s\u2019interrompt. Donc un champ alternatif expliquerait parfaitement le ph\u00e9nom\u00e8ne. <\/p>\n\n\n\n

Le myst\u00e8re du \u00abchef d\u2019orchestre\u00bb<\/em><\/h2>\n\n\n\n

Le probl\u00e8me c\u2019est que ce champ magn\u00e9tique initial sans lequel rien ne pourrait se faire, n\u2019est pas d\u00e9celable. Y a-t-il une origine autre qu\u2019\u00e9lectromagn\u00e9tique qui expliquerait la force \u00e0 l\u2019origine de la d\u00e9formation rythmique des prot\u00e9ines de membrane ? Rien ne permet de l\u2019affirmer. <\/p>\n\n\n\n

Ainsi, en cardiologie, l\u2019origine de l\u2019automatisme, cette capacit\u00e9 \u00e0 modifier spontan\u00e9ment la perm\u00e9abilit\u00e9 ionique de la membrane cellulaire d\u2019une mani\u00e8re rythm\u00e9e et r\u00e9p\u00e9titive, est encore un myst\u00e8re, et on n\u2019en mesure que les cons\u00e9quences, l\u2019activit\u00e9 \u00e9lectrique du c\u0153ur et la contraction du muscle cardiaque. On sait comment l\u2019orchestre joue, mais on ignore comment le \u00abchef d\u2019orchestre\u00bb<\/em> le devient. M\u00e9decin de libre pratique.<\/p>\n","protected":false},"excerpt":{"rendered":"

Le cardiologue interroge ici le myst\u00e8re de l’automatisme qui permet au muscle cardiaque de battre d\u2019une mani\u00e8re rythm\u00e9e et r\u00e9p\u00e9titive. <\/p>\n","protected":false},"author":8,"featured_media":5255407,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[992,998,2433],"tags":[2783,104673,87558,104674],"class_list":["post-5255177","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-a-la-une","category-societe","category-tunisie","tag-cardiologie","tag-coeur","tag-dr-mounir-hanablia","tag-muscle-cardiaque"],"yoast_head":"\nLes potins du cardiologue: le chef d\u2019orchestre fant\u00f4me \u00a0 - Kapitalis<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kapitalis.com\/tunisie\/2022\/11\/26\/les-potins-du-cardiologue-le-chef-dorchestre-fantome\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les potins du cardiologue: le chef d\u2019orchestre fant\u00f4me \u00a0 - 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